Case Number 4039: Bottoming out / Internal Bra

This 45 year old from Lancaster, California had been interested in Revisionary Breast Surgery. She was unhappy with the position, shape, and symmetry of her current breast implants. The left nipple/areola pointed “up and out”and made the patient very uncomfortable in and out of clothes. The patient did her research to find the most experienced plastic surgeon in regards to revisionary breast augmentation surgery and found Dr. Pousti.

Dr. Pousti examined the patient and discussed revisionary breast augmentation surgery. They discussed how her left implant had “bottomed out” and how capsulorrhaphy (internal bra) would be beneficial to reach her goals. Below, the arrows indicate where the patient wished for more “fullness” and how an inferior capsulorrhaphy (internal sutures) would help her achieve that goal.

Below – in the operation room – with the patient’s breast implants removed.

Using the Keller Funnel to place the silicone gel breast implant after the internal pocket work is completed.

Immediately after the surgery is completed in the operating room – you can see the improved symmetry.

The patient is extremely happy with her results. She understands that it takes time for everything to heal and settle.